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three principal strategies for secondary prevention
three principal strategies for secondary prevention

... • stroke ; second most common cause of death after myocardial infarction • a leading cause of acquired disability. • Patients with stroke are at high risk for subsequent vascular events, including recurrent stroke (highest risk), myocardial infarction, and death from vascular causes. ...
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the circulatory system - Science with Mr. Enns
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managing afib - Mended Hearts
managing afib - Mended Hearts

... The most common anticoagulant is warfarin (Coumadin or Jantoven). Warfarin has long been used to treat AFib, so physicians know how effective it is and what the long-term side effects are. If you take warfarin, your physician will monitor you closely to ensure the dose is high enough to prevent stro ...
Echocardiogram Stress Test
Echocardiogram Stress Test

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Cardiovascular System: The Heart A
Cardiovascular System: The Heart A

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ch18a_wcr
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09/27/16 - Lincoln Medical and Mental Health Center

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CHAPTER 1: THE CARDIOVASCULAR SYSTEM Practice questions
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... • Angina refers to a painful constriction or tightness somewhere in the body, characterised in the chest by increased heart rate caused by physical exertion or excitement and heavy and cramp-like chest pains. These chest pains are due to ischemia (a lack of blood and hence oxygen supply) to the hea ...
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JNC 7 Organizational Structure

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Coronary artery disease



Coronary artery disease (CAD), also known as ischemic heart disease (IHD), atherosclerotic heart disease, atherosclerotic cardiovascular disease, and coronary heart disease, is a group of diseases that includes: stable angina, unstable angina, myocardial infarction, and sudden coronary death. It is within the group of cardiovascular diseases of which it is the most common type. A common symptom is chest pain or discomfort which may travel into the shoulder, arm, back, neck, or jaw. Occasionally it may feel like heartburn. Usually symptoms occur with exercise or emotional stress, last less than a few minutes, and gets better with rest. Shortness of breath may also occur and sometimes no symptoms are present. The first sign is occasionally a heart attack. Other complications include heart failure or an irregular heartbeat.Risk factors include: high blood pressure, smoking, diabetes, lack of exercise, obesity, high blood cholesterol, poor diet, and excessive alcohol, among others. Other risks include depression. The underlying mechanism involves atherosclerosis of the arteries of the heart. A number of tests may help with diagnoses including: electrocardiogram, cardiac stress testing, coronary computed tomographic angiography, and coronary angiogram, among others.Prevention is by eating a healthy diet, regular exercise, maintaining a healthy weight and not smoking. Sometimes medication for diabetes, high cholesterol, or high blood pressure are also used. There is limited evidence for screening people who are at low risk and do not have symptoms. Treatment involves the same measures as prevention. Additional medications such as antiplatelets including aspirin, beta blockers, or nitroglycerin may be recommended. Procedures such as percutaneous coronary intervention (PCI) or coronary artery bypass surgery (CABG) may be used in severe disease. In those with stable CAD it is unclear if PCI or CABG in addition to the other treatments improve life expectancy or decreases heart attack risk.In 2013 CAD was the most common cause of death globally, resulting in 8.14 million deaths (16.8%) up from 5.74 million deaths (12%) in 1990. The risk of death from CAD for a given age has decreased between 1980 and 2010 especially in the developed world. The number of cases of CAD for a given age has also decreased between 1990 and 2010. In the United States in 2010 about 20% of those over 65 had CAD, while it was present in 7% of those 45 to 64, and 1.3% of those 18 to 45. Rates are higher among men than women of a given age.
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